Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHAN BRENNER, MA, ED.S.
ActiveSchool Psychologist · BLOOMINGDALE, IL
Registration Details
- NPI Number
- 1407379555
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2017 (8.7773950469065 yrs)
- Last Updated
- Jul 20, 2017
- License
-
2056540 (IL)
Practice Information
- Address
-
125 FAIRFIELD WAYBLOOMINGDALE, IL, 601081597Browse IL providers · Browse ZIP 60108
- Phone
- 6304405406
- Primary Specialty
-
School Psychologist
103TS0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.